Individual provider · Type 1 NPI

Brannon Ichwan

Pharmacist · Duarte, CA

NPI number 1366315566 Active

Practice location

939 Swiss Trl
Duarte, CA 91010-2181

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X91278 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1366315566

Brannon Ichwan's National Provider Identifier is 1366315566, issued on Sep 25, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Duarte, CA. The record was last updated on Sep 25, 2025.